Lynnette Caudill Wickliff (NPI# 1811982143, PAC ID# 0840215026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811982143 |
| PAC ID by PECOS | 0840215026 |
| Professional Enrollment ID | I20051006000611 |
| Full Name | Lynnette Caudill Wickliff |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Address |
301 Henry St Building B North Vernon IN 47265-1030 |
| Phone Number | 8123524300 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012047640 |
| Number of Group Practice Members | 699 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151303 | ST VINCENT JENNINGS HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 301 Henry St, Building B, North Vernon, IN 47265-1030 | 8123524300 | ST VINCENT MEDICAL GROUP INC |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Physicians | 702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J. Lyon | Cardiovascular Disease (cardiology) | St Vincent Medical Group Inc | 10590 N Meridian St, Indianapolis, IN 46290-1028 |
| Mohamad H Yousef | Gastroenterology | St Vincent Medical Group Inc | 2010 W 86th St, Suite 111, Indianapolis, IN 46260-1930 |
| Stephanie Ann Mason | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Emily Kelly Koffel | Nurse Practitioner | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Bobbie Nakole Jellison | Family Medicine | St Vincent Medical Group Inc | 8424 Naab Road Bulding, 1 1e, Indianapolis, IN 46260-1954 |
| Jessica Dawn Augenstine | Nurse Practitioner | St Vincent Medical Group Inc | 5629 Lee Rd, Indianapolis, IN 46216-2003 |
| Hannah Rebekah Thornton | Nurse Practitioner | St Vincent Medical Group Inc | 14828 Greyhound Ct, Suite 100, Carmel, IN 46032-5016 |
| John Gary Quiles | Gastroenterology | St Vincent Medical Group Inc | 1515 N Madison Ave, Anderson, IN 46011-3453 |
| Yvette Monique Caviness-kelley | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Erin Michelle Watson | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Street Address |
301 HENRY ST BUILDING B |
| City | NORTH VERNON |
| State | IN |
| Zip | 47265-1030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Small | Emergency Medicine | Indiana Physician Management-jennings, LLC | 301 Henry St, North Vernon, IN 47265-1030 |
| Nancy Ellen Marshall | Internal Medicine | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Katherine Denise Conover | Nurse Practitioner | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Linda Renee Hefner | Pediatric Medicine | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Judith Ann Koehler | Internal Medicine | St Vincent Medical Group Inc | 301 Henry St, Building B, North Vernon, IN 47265-1030 |
| Margaret Gibson Parker | Nurse Practitioner | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chassie A Broadus | Optometry | Expert Eyecare PC | 401 Henry St, North Vernon, IN 47265-1003 |
| William D Burnett | Optometry | Expert Eyecare PC | 401 Henry St, North Vernon, IN 47265-1003 |
| James T Lisle | Optometry | Lisle Family Eye Care Inc | 747 N State St, Eye Care Group, North Vernon, IN 47265-1044 |
| Anthony Ezra Lilly | Clinical Psychologist | 753 N State St, North Vernon, IN 47265-1044 | |
| Sharlene C Banks | Certified Clinical Nurse Specialist (cns) | Southeast Indiana Mental Health Professionals,llc | 257 E Main St, North Vernon, IN 47265-1510 |
| Robert Ellsworth Dailey | Psychologist, Clinical | Southeast Indiana Mental Health Professionals,llc | 257 E Main St, North Vernon, IN 47265-1510 |
| Leonard Ezekiel Miller Jr. | Clinical Psychologist | Southeast Indiana Mental Health Professionals,llc | 257 E Main St, North Vernon, IN 47265-1510 |
| Kirk A Hearne | Optometry | 130 N State St, North Vernon, IN 47265-1724 | |
| Trevor C Miller | Chiropractic | 209 S State St, North Vernon, IN 47265-1818 | |
| Neil S Hill | Family Medicine | 939 Veterans Dr A, North Vernon, IN 47265-2603 | |
| Find all physicians in zip 47265 | |||
| City | NORTH VERNON |
| Zip Code | 47265 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NORTH VERNON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lynnette Caudill Wickliff.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.